无创颅内压监测在重症颅脑损伤术后患者中的临床观察

Clinical observation of non-invasive intracranial pressure monitoring in postoperative patients with severe craniocerebral injury

目的探讨无创动态颅内压监测在重症颅脑损伤术后患者中的临床应用价值。方法选取重症颅脑损伤行手术治疗后入住重症监护中心60例患者,其中30例行无创性动态颅内压监测为观察组,30例行有创性动态颅内压监测为对照组,对比分析2组临床疗效、脱水剂用量及应用时间。结果 2组在临床疗效比较差异无统计学意义(P>0.05),观察组脱水剂应用时间和剂量均少于对照组,差异有统计学意义(P<0.05)。结论无创性颅内压检测仪可有效反映颅内压的变化,在指导重症颅脑损伤术后治疗有重要价值。

Objective To explore the application value of non invasive dynamic intracranial pressure monitoring in postoperative patients with severe craniocerebral injury.Methods 60 postoperative patients in intensive care unit with severe craniocerebral injury were studied retrospectively.The observation group were 30 cases with non-invasive dynamic intracranial pressure monitoring,while the control group were 30 cases undergoing invasive dynamic intracranial pressure monitoring.The clinical efficacy,dosage and application time of dehydrating agent in two groups were compared and analyzed.Results There was no statistically significant difference in clinical efficacy between the two groups(P>0.05).Compared with the control group,the dosage and application time of dehydrating agent in observation group were decreased,the differences were statistically significant(P<0.05).Conclusion The non-invasive intracranial pressure detector can effectively reflect the changes of intracranial pressure and is of great significance in guiding the treatment of postoperative patients with severe craniocerebral injury.